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Reports, Forms, Pamphlets and Policies
You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
ETA-081 | Initial Application for Disaster Unemployment Assistance | 09/01/2022 |
|
ETA-081-S | Solicitud Inicial de asistencia para desempleados por desastre | 09/01/2022 |
|
RSA-1313A-SLP | Autorización de Divulgación de Registros de RSA (Letra Grande) | 09/01/2022 |
|
LCR-1025A | Application for Initial HCBS Certification (English) | 09/01/2022 |
|
RSA-1313A-LP | Authorization for Release of RSA Records (Large Print) | 09/01/2022 |
|
DDD-1734A | Individually Designed Living Arrangement (IDLA) Assurances (English) | 09/01/2022 |
|
RSA-1312A-LP | Authorization for Disclosure of Health Information to RSA (Large Print) | 09/01/2022 |
|
DDD-1734A-S | Individually Designed Living Arrangement (IDLA) Assurances (Spanish) | 09/01/2022 |
|
RSA-1213A-SLP | Autorización para Divulgación de Información de Salud a RSA (Letra Grande) | 09/01/2022 |
|
GCI-1096A | Individual Family Teaming Report | 09/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
RSA-LP5651 | Transition Protocol (Large Print) | 06/25/2010 |
|
RSA-TT5650 | Transition Protocol form | 06/25/2010 |
|
AG-031-R | Social Service Report and Instructions for Registered Services | 03/01/2010 |
|
AG-030-A-FF | Congregate Meals Report | 07/01/2009 |
|
AG-030-B-FF | Home Delivered Meals Report | 07/01/2009 |
|
DDD-1505A | Seizure Record | 05/01/2009 |
|
AAA-1174A | SHIP/SMP Volunteer Application | 02/01/2009 |
|
DDD-1725A | Uniform Billing Document (Short form) | 12/17/2008 |
|
DDD-1482A | Do Your Business a Favor...Hire a Person with a Disability | 05/01/2008 |
|
WOTC - How to Qualify and Participate | Work Opportunity Tax Credit-How to Qualify and Participate | 02/01/2008 |
